Individual
MS. ANTOINETTE P MATERASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RN
Contact information
Practice address
530 QUAKER RD, CHAPPAQUA, NY 10514-2016
(914) 238-6156
(914) 238-7522
Mailing address
530 QUAKER RD, CHAPPAQUA, NY 10514-2016
(914) 238-6156
(914) 238-7522
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
351275
NY
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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